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Tennessee rates for HCPCS 0011U

Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds and metabolites

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $93.33 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $234.42 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $851.14 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $114.82